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5922 Posts

Posted - Jun 19 2019 :  12:33:19 PM  Show Profile  Reply with Quote
I thought I read somewhere that Medicare pays for a low-dose ctscan....or did I confuse that with an annual mammogram?

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226 Posts

Posted - Jun 19 2019 :  4:24:41 PM  Show Profile  Reply with Quote
They pay for mine. 100% so long as you meet the criteria.

Patients must meet the following five criteria:

Be age 55-77 years of age
Have no signs or symptoms of lung cancer
Have a 30-pack years or greater history of tobacco smoking
Be current smokers or have quit smoking within the last 15 years
Have a written order for LDCT from a qualified health professional following a lung cancer screening
counseling that attests to shared decision-making having taken place before their first screening CT

That last one just means the doc talks to you.

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43 Posts

Posted - Jun 20 2019 :  06:33:35 AM  Show Profile  Reply with Quote
They pay for mine every year.

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326 Posts

Posted - Sep 01 2019 :  10:56:55 AM  Show Profile  Reply with Quote
They always pay for mine. I have emphysema.
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Contributing Member

2079 Posts

Posted - Sep 01 2019 :  5:07:13 PM  Show Profile  Reply with Quote
The criteria is under 75 and less than 15 years since you quit smoking, I think. I could have that all wrong, so someone please correct me if I am. I haven't paid a lot of attention since I quit smoking nearly 30 years ago and I'm need to pay attention!

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184 Posts

Posted - Sep 02 2019 :  3:06:12 PM  Show Profile  Reply with Quote

Lung cancer screenings
Medicare Part B (Medical Insurance) covers lung cancer screenings with Low Dose Computed Tomography (LDCT) once per year if you meet all of these conditions:

You’re age 55-77.
You don’t have signs or symptoms of lung cancer (asymptomatic).
You’re either a current smoker or have quit smoking within the last 15 years.
You have a tobacco smoking history of at least 30 “pack years” (an average of one pack (20 cigarettes) per day for 30 years).
You get a written order from your doctor.

Your costs in Original Medicare

You pay nothing for this service if your doctor accepts Assignment.
Things to know

Before your first lung cancer screening, you’ll need to schedule a lung cancer screening counseling and shared decision-making visit with your doctor to discuss the benefits and risks of lung cancer screening. You and your doctor can decide whether lung cancer screening is right for you.

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